Evaluation of intradermal absorbable and mattress sutures to close pilonidal sinus wounds with Limberg flap: a prospective randomized comparative study

Çetin, Kenan; Sıkar, Hasan Ediz; Kocaoğlu, Aytaç Emre; Kündeş, Muhammet Fikri; Karahan, Mehmet; Kaptanoğlu, Levent

doi:10.4174/astr.2018.94.2.88

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…Using MLF technique, 0.8% WI rate was observed by Mentes et al (5). The other investigators reported different WI rates; 4.5% by Ersoy et al (15), 34% by Akan et al (25), 5% by Dass et al (16), 6.6% by Altintoprak et al (19), and 13% by Cetin et al (24). WI rate was 5.4% in our MLF group.…”

Section: Discussionmentioning

confidence: 40%

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Could Early Postoperative Complications be Considered as Risk Factor for Recurrence after Pilonidal Sinus Surgery?

Demiryas¹,

Dönmez²

2019

chr

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Introducere: Nu s-a ajuns la nici un consens în ceea ce priveşte tehnicile de tratament ale bolii pilonidale sacrococcigiene (PD). Tehnicile chirurgicale preferate sunt procedurile Karydakis (KP) şi clapa Limberg modificată (MLF). Din cauza perioadei lungi de urmărire a pacienţilor şi a timpului îndelungat până la reluarea activităţilor zilnice, complicaţiile postoperatorii crează un disconfort puternic. Prin prezentul studiu ne-am propus să determinăm factorii de risc pentru posibile complicaţii şi mai ales recurenţa la pacienţii care sunt supuşi tratamentului chirurgical pentru PD. Metode: Acesta este un studiu retrospectiv de şapte ani, care a fost realizat în perioda ianuarie 2011-ianuarie 2018, în cadrul căruia au fost evaluaţi opt sute patruzeci şi unu de pacienţi. Aceeaşi tehnică-aceeaşi abordare chirurgicală a fost folosită pentru toţi pacienţii implicaţi. Toate cazurile au fost împărţite în două grupuri: KP (n = 417) şi MLF (n = 424). Rezultate: Nu s-a găsit nicio diferenţă semnificativă între grupurile KP şi MLF în ceea ce priveşte vârsta, sexul, IMC, fumatul, istoricul drenării acute de abces (HAAD), momentul eliminării suturii, perioada de urmărire, seromul, hematomul, dehiscenţa, infecţia rănilor (WI), durere şi recurenţă. În acest studiu, perioada de urmărire a pacienţilor a fost de 48,6 ± 21,4 luni în grupul KP şi 48,2 ± 21,7 luni în grupul MLF (medie ± SD). S-a constatat că scorul American Society of Anesthesiologists (ASA) a fost mai mare în grupul KP. În timp ce durata medie a operaţiei (DO) a fost mai scurtă în grupul KP, perioada de îndepărtare a scurgerii, perioada de

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Section: Discussionmentioning

confidence: 40%

“…In addition, we could not correlate the EC development with TDR in both groups (Table 2). Cetin et al showed the average TDR was 4.4 ± 1.5 days in patients of LF group with mattress sutures (24).…”

Section: Discussionmentioning

confidence: 96%

Could Early Postoperative Complications be Considered as Risk Factor for Recurrence after Pilonidal Sinus Surgery?

Demiryas¹,

Dönmez²

2019

chr

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“…Through the summary of the previous related literature, we found that the causes of the above incisional healing defects are as follows: (I) minimally invasive surgery, especially uniportal surgery, increased the chance of burns, postoperative aseptic necrosis, fat liquefaction and can lead to incision healing delay because of the surgical incision of blood leakage, especially during the deep muscle hemostasis. (II) The increase in the number of surgical instruments inserted through the single-hole causes pressure and friction on the incision tissue, resulting in local ischemic necrosis and affecting wound healing ( 17 ). (III) The retention of chest tubes can affect incision healing.…”

Section: Discussionmentioning

confidence: 99%

Modified surgical incision suturing technique in uniportal video-assisted thoracoscopic pulmonary resection

Pan,

Chen,

Liang

et al. 2024

J Thorac Dis

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Background In recent years, single-hole thoracoscopic surgery technology is widely used in major medical centers and chest-specialized hospitals for the treatment of lung diseases. However, the single-hole minimally invasive surgery method focuses on one incision, and all surgical instruments need to pass through the same hole, resulting in repeated extrusion and tissue damage of the surgical incision. Therefore, we have improved the suture method of conventional surgical incision in order to reduce the probability of wound infection and dehiscence, promote early healing, and reduce the severity of postoperative wound scar, thereby enhancing the postoperative rapid recovery of patients. The purpose of this study is to explore the clinical efficacy of a modified surgical incision suture technique applied to uniportal thoracoscopic pulmonary resection. Methods This study retrospectively analyzed 151 patients who were admitted to the Department of Thoracic Surgery and underwent pulmonary resection from January 2019 to October 2021 in the North District of Suzhou Municipal Hospital. The patients were divided into two groups according to the different surgical incision suture methods: a modified group and a conventional group. The postoperative general clinical indexes, incision infection rate, secondary suture rate, postoperative incision pain score, and the severity of postoperative incision scar were compared and analyzed between the two groups. Results There were no statistically significant differences between the two groups in terms of chest tube duration or postoperative drainage and postoperative incision pain scores; the incision infection rate (1.3% vs. 6.7%, P<0.05), secondary suture rate (2.6% vs. 9.4%, P<0.05), and postoperative scar score (4.853 vs. 5.543, P=0.03) were better in the modified group than in the conventional group, and the differences between the two groups were statistically significant. Conclusions Our modified suture method reduces the chance of infection and splitting and the severity of postoperative incision scar formation, promoting early healing. It can be safely and effectively applied to the incision suture of uniportal thoracoscopic pulmonary resection, enhancing the rapid postoperative recovery of patients.

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“…Closed methods involve excision with primary closure to the midline or lateral suture line. Several closed methods of excision and suturing techniques have been described for surgical treatment of PS [34567]. In the last 5–10 years, minimally-invasive procedures, such as endoscopic methods, laser therapy, microsinusectomy, and pit-picking, have been described for the treatment of PS, with evidence of short-term positive results[58910111213].…”

Section: Introductionmentioning

confidence: 99%

Inverse ‘D’ incision technique in treatment of pilonidal sinus disease; excision with minimal tissue loss, closure without tension and lateral location of the suture line

2019

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PurposeSurgical excision is the preferred treatment modality for sacrococcygeal pilonidal sinus (PS). Notably, the desirable features of an ideal surgical intervention are excision with minimal tissue loss, closure without tension, and a lateral suture line. The present study aimed to investigate early outcomes of surgical excision through the inverse D (ᗡ) incision based on tissue loss, wound tension, and suture line location.MethodsThis prospective study was comprised of 80 patients with PS in whom excision of PS was performed through the ‘ᗡ’ incision to minimize tissue loss with a tensionless primary surgical wound closure. The suture line was located laterally in all patients. Early and late postoperative complications, duration of hospital stay, return to work, and recurrence rates were investigated. The mean duration of the follow-up period was 36 months.ResultsSixty-three patients (78.8%) were male. PS in all patients was surgically removed by subcutaneous excision through a ‘ᗡ’ incision. Laterally placed surgical wounds were closed primarily with interrupted vertical mattress sutures. No general complications were encountered. Five patients (6.3%) experienced early postoperative surgical site complications. On average, the duration of hospital stay and return to work were 2.4 days and 3.8 days, respectively. Recurrence was seen in 1 case (1.3%) during the follow-up period. Satisfaction score was high in 83.8% of patients.ConclusionThe method of sinus excision using the ‘ᗡ’ incision with a primary suture facilitates excision with minimal tissue loss and closure without tension with an off-midline suture. It is both a simple and effective surgical technique for the treatment of sacrococcygeal PS.

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Evaluation of intradermal absorbable and mattress sutures to close pilonidal sinus wounds with Limberg flap: a prospective randomized comparative study

Cited by 4 publications

References 17 publications

Could Early Postoperative Complications be Considered as Risk Factor for Recurrence after Pilonidal Sinus Surgery?

Could Early Postoperative Complications be Considered as Risk Factor for Recurrence after Pilonidal Sinus Surgery?

Modified surgical incision suturing technique in uniportal video-assisted thoracoscopic pulmonary resection

Inverse ‘D’ incision technique in treatment of pilonidal sinus disease; excision with minimal tissue loss, closure without tension and lateral location of the suture line

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